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Published on: November 9, 2016
Home antipyretic use in children brought to the emergency department
M A McErlean1, J M Bartfield, D A Kennedy
1Department of Emergency Medicine, Albany Medical Center, Albany, New York 12208, USA. mcerlem@mail.amc.edu
Insights
Many children receiving antipyretics for fever at home are not given the correct dose. Demographic factors did not predict proper dosing in this study of pediatric fever management.
Area of Science:
- Pediatrics
- Pharmacology
Background:
- Fever is a common symptom in children, often managed at home with antipyretics.
- Accurate dosing of antipyretics is crucial for effective fever reduction and safety.
Purpose of the Study:
- To assess the frequency of correct antipyretic dosing in children with fever managed at home.
- To investigate if demographic factors are associated with proper antipyretic dosing.
Main Methods:
- A prospective, descriptive study involving 138 children aged 3 to 36 months presenting with fever.
- Caregiver interviews collected data on demographics and antipyretic administration.
- Statistical analysis, including regression modeling, examined predictors of proper dosing.
Main Results:
- Of children receiving antipyretics at home (86%), only 47% received the correct dose.
- No demographic variable was found to predict correct antipyretic dosing.
- Home antipyretic dosing did not correlate with fever presence or temperature in the emergency department.
Conclusions:
- A significant proportion of children receive incorrect antipyretic doses at home.
- Demographic factors do not appear to influence correct antipyretic dosing practices.
- Further research is needed to understand and improve home antipyretic administration.
Objective:
To determine how often children with a complaint of fever receive antipyretics at home and if any demographic factors are associated with correct dosing.
Methods:
A prospective, descriptive study of children 3 to 36 months old presenting with complaint of fever was conducted. Caregivers were questioned about demographics and antipyretic given. The ability of demographics to predict proper dosing was tested first individually and then with a regression model. The effect of proper home dosing on presence of fever and height of fever was also analyzed. A total of 138 children were analyzed.
Results:
Of the 118 (86%) who received antipyretics at home, only 47% had been given a proper dose. No demographic variable predicted proper dosing.
Conclusion:
Reported antipyretic dose at home did not predict presence of fever or height of temperature measured in the emergency department.
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